Individual
ADRINE KHOUDAGOULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1933 S BROADWAY STE 700A, LOS ANGELES, CA 90007-4518
(213) 248-3562
Mailing address
1933 S BROADWAY STE 700A, LOS ANGELES, CA 90007-4518
(213) 248-3562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28877
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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